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General NPI Number Information
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NPI Number | 1073992509
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Entity Type | Organization
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Legal Business Name | LAMOUREUX CHIROPRACTIC CENTRE
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Dates
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Enumeration Date | 05/29/2015
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Last Update Date | 05/29/2015
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Provider Practice Location Address
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Address Line | 8 OAK TREE VLG
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City | DONIPHAN
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State | MO
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Zip | 63935-1901
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Country | US
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Telephone | 573-996-7276
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Fax | 573-996-4657
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Provider Business Mailing Address
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Address Line | 8 OAK TREE VLG
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City | DONIPHAN
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State | MO
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Zip | 63935-1901
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Country | US
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Telephone | 573-996-7276
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Fax | 573-996-4657
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Authorized Official
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Title or Position | OWNER
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Name | DR. LESTER A. LAMOUREUX
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Credential | D.C.
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Telephone | 573-996-7276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 005265
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License Number State | MO
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